SIR JOHN OLDHAM: CCGs must save, not undermine the NHS
Prediction that NHS will need another £40 billion by 2020 unless system is changed
Sir John Oldham, Chair of Integrating Care Strategic Advisory Board, yesterday made an urgent plea against plans for disease specific, ‘outcome-based’ integrated pathways by CCGs.
In his speech at the ISQUA Conference in Edinburgh on Monday 14th October, Sir John made an impassioned call for CCGs to focus on true, whole person integration. In a stark warning, Sir John cited estimates that the NHS will need another £40 billion by 2020, unless the system is changed.
Sir John Oldham, Chair of Integrating Care Strategic Advisory Board, said:
“I join Nigel Edwards and Chris Ham of the Kings’ Fund in warning CCGs not to pursue disease specific so-called ‘outcome-based’ integrated pathways, such as Diabetes or COPD. They are not integrated for the patients – most of whom have multiple conditions – who will still end up being dragged along in multiple pathways, with the same duplication and the same results.
“If there is no change to the way we do things, the NHS will need another £40 billion by 2020 according to some estimates. This disease approach by these CCGs guarantees no narrowing of that gap. I say to them: Nigel, Chris and I have spent many years working on and researching integrated care. Please heed us. Abandon this course. Instead, start true integration around the whole person. Learn from where this is already being done. The route you are embarking on will undermine the NHS, not save it. “